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Author Question: A primary care NP sees a patient who is about to take a cruise and reports having had motion ... (Read 95 times)

ss2343

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on: Jul 24, 2018
A primary care NP sees a patient who is about to take a cruise and reports having had motion sickness with nausea on a previous cruise. The NP prescribes the scopolamine transdermal patch and should instruct the patient to apply the patch:
 
  a. daily.
  b. every 3 days.
  c. as needed for nausea.
  d. 1 hour before embarking.

Question 2

A woman is in her first trimester of pregnancy. She tells the primary care nurse practitioner (NP) that she continues to have severe morning sickness on a daily basis. The NP notes a weight loss of 1 pound from her previous visit 2 weeks prior.
 
  The NP should consult an obstetrician and prescribe: a. aprepitant (Emend).
  b. ondansetron (Zofran).
  c. scopolamine transdermal.
  d. prochlorperazine (Compazine).


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Hdosisshsbshs

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Reply #1 on: Jul 24, 2018
Answer to Question 1

B
The transdermal system allows steady-state plasma levels of scopolamine to be reached rapidly and maintained for 3 days. The onset of action is approximately 4 hours. The patch should be changed every 3 days and left on at all times, not as needed.

Answer to Question 2

B
No antiemetic drugs should be used for nausea and vomiting during pregnancy unless approved by an obstetrician. Ondansetron has been shown to be safe and effective (off-label) for hyperemesis gravidum.


ss2343

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


Hdosisshsbshs

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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